Olivia Nickulis
NPI #1174345615 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1174345615
- Entity Type
- Individual
- Name
- Olivia Nickulis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Oct 28, 2024
- Last Updated
- Oct 28, 2024
Practice Location
- Address
- 1 WESTMINSTER PL STE 101
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-5511
- Phone
- (847) 919-9096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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